The US government's 32-year-old law regulating chemical
safety needs a complete overhaul, according to Congress' investigative
arm, known as the Government Accountability Office (GAO). In a 22
January report, GAO says comprehensive reform of the Toxic Substances
Control Act (TSCA) - which is administered by the US Environmental
Protection Agency (EPA) - should be a top priority.
In GAO's
'High Risk' priority document - which identifies the government
programmes, policies, and operations most in need of fixing - the
office concludes that EPA's 'inadequate progress' in assessing toxic
chemicals significantly hampers its ability to protect human health and
the environment.
'The Environmental Protection Agency lacks
adequate scientific information on the toxicity of many chemicals that
may be found in the environment - as well as on tens of thousands of
chemicals used commercially in the United States,' the report
concludes. GAO also criticises EPA for failing to routinely assess the
risks of the roughly 80,000 industrial chemicals that are already in
use in the US.
In addition, the report says action is needed to
streamline and increase the transparency of EPA's Integrated Risk
Information System (IRIS), a compilation of reports on specific
substances and their potential to cause human health effects. GAO notes
thatsome of the chemicals most likely to cause significant health
problems are among the IRIS assessments that have taken the longest to
complete. EPA's assessment of dioxin, for example, has been ongoing for
18 years.
Industry concerns
The American
Chemistry Council (ACC), the major trade association for US chemical
companies, agrees that improving the quality of EPA's chemical risk
assessments is important. 'ACC has been concerned for some time that
the IRIS process was moving more slowly than desired, not only in
output, but also with incorporating scientific advances in risk
assessment,' the group states.
Paul Anastas, the director
of Yale University's Center for Green Chemistry and Green Engineering,
says an overhaul of TSCA is long overdue. 'A chemicals statue should
not facilitate endless review, analysis and characterisation of
problems, rather it should facilitate moving toward new classes of
substances of less risk to human health and the environment,' he tells Chemistry World. 'Right now, TSCA facilitates paralysis by analysis.'
The
GAO report points out that the European Union's Registration,
Evaluation and Authorization of Chemicals (Reach) legislation requires
companies to provide safety data and risk assessments on the chemicals
they produce, but TSCA generally places the onus on EPA to obtain such
data. This requirement is costly and time-consuming because it compels
EPA to demonstrate that certain health or environmental risks are
likely before the agency can require companies to further test their
chemicals.
'Without greater attention to EPA's efforts to assess
toxic chemicals, the nation lacks assurance that human health and the
environment are adequately protected,' GAO warns.
Political power
The
new Obama administration does appear to have the political will to
rework EPA's system for assessing chemicals. Throughout his campaign,
Obama repeatedly discussed the importance of protecting the public and
environment from toxic substances. The agency's new administrator
- chemical engineer Lisa Jackson - recently listed revising and
strengthening EPA's chemical risk management as one of her top
priorities.
There is also an expectation on Capitol Hill that
members of the Senate Environment and Public Works Committee will use
the GAO report to expedite EPA reform in areas like TSCA.
But
even if the White House and new Congress actively pursue modifications
to TSCA, such efforts will likely face major opposition from chemical
companies that have a vested interest in avoiding extra, expensive
testing.
'It isn't just one or two studies that will help define
the toxicology and exposure of a chemical - it will be many,' says
Larry Turner, an ecotoxicologist who worked for EPA for nearly 30 years
and served in the agency's toxic substances group during that time.
'This gets very expensive for the chemical companies, and for EPA as
well because this extra data has to be processed and assessed,' he adds.
For
its part, EPA would not comment on the GAO recommendations. The agency
did note, however, that it has a newly confirmed administrator and will
review the GAO report and 'respond accordingly'.
Rebecca Trager, US correspondent for Research Day USA
Chemicals in Skin Cream, Floss May Lower Fertility, Study Says
By Chantal Britt
Jan. 29 (Bloomberg) -- Chemicals found in a wide range of
household products, including non-stick pans and skin creams, may
make it harder for some women to get pregnant, a new study shows.
Researchers led by Chunyuan Fei, from the University of
California in Los Angeles, studied data on 1,240 women and found
those with higher levels of fluorine-containing compounds in
their blood took longer to conceive. The study is published in
next month’s issue of the medical journal Human Reproduction.
The compounds, known as perfluorinated chemicals or PFCs,
may interfere with hormones that are involved in reproduction,
Fei wrote in the study. The father’s sperm quality may also be
affected by the chemicals and contribute to the problem, he said.
“Animal studies have shown that these chemicals may have a
variety of toxic effects on the liver, immune system and
developmental and reproductive organs,” Fei said.
The researchers are the first to study the link between
infertility and the presence of chemicals such as
perfluorooctanoic acid and perfluorooctane sulfonate in the
blood. Fertility rates have declined in developed countries in
recent decades. In the U.S., 8 percent of women of child-bearing
age have had an infertility-related medical visit, according to
the Centers for Disease Control and Prevention.
PFCs are used to make textiles and leather resistant to
water, dirt or oil. They are also found in personal care products
such as nail polish, dental floss or facial moisturizer. The
chemicals resist breakdown and tend to persist in the environment
and in the body for decades.
3M Co., which used perfluorooctanoic acid in the fabric
protector Scotchgard, funded the study and its toxicology
laboratories performed the analyses. After 3M discovered the
chemicals’ toxic properties in 2001, it stopped using PFCs.
The shame of it is that there is a ton of real pollution out there, and we're wasting time and money with this horse malarkey.
The Amazing Story Behind the Global Warming Scam
By John Coleman January 28, 2009
The
key players are now all in place in Washington and in state governments
across America to officially label carbon dioxide as a pollutant and
enact laws that tax we citizens for our carbon footprints. Only two
details stand in the way, the faltering economic times and a dramatic
turn toward a colder climate. The last two bitter winters have lead to
a rise in public awareness that CO2 is not a pollutant and is not a
significant greenhouse gas that is triggering runaway global warming.
How did we ever get to this point where bad science is driving big government we have to struggle so to stop it?
The
story begins with an Oceanographer named Roger Revelle. He served with
the Navy in World War II. After the war he became the Director of the
Scripps Oceanographic Institute in La Jolla in San Diego, California.
Revelle saw the opportunity to obtain major funding from the Navy for
doing measurements and research on the ocean around the Pacific Atolls
where the US military was conducting atomic bomb tests. He greatly
expanded the Institute's areas of interest and among others hired Hans
Suess, a noted Chemist from the University of Chicago, who was very
interested in the traces of carbon in the environment from the burning
of fossil fuels. Revelle tagged on to Suess studies and co-authored a
paper with him in 1957. The paper raises the possibility that the
carbon dioxide might be creating a greenhouse effect and causing
atmospheric warming. It seems to be a plea for funding for more
studies. Funding, frankly, is where Revelle's mind was most of the time.
Next Revelle hired a Geochemist named David Keeling to devise a way
to measure the atmospheric content of Carbon dioxide. In 1960 Keeling
published his first paper showing the increase in carbon dioxide in the
atmosphere and linking the increase to the burning of fossil fuels.
These two research papers became the bedrock of the science of
global warming, even though they offered no proof that carbon dioxide
was in fact a greenhouse gas. In addition they failed to explain how
this trace gas, only a tiny fraction of the atmosphere, could have any
significant impact on temperatures.
Now let me take you back to the1950s when this was going on. Our
cities were entrapped in a pall of pollution from the crude internal
combustion engines that powered cars and trucks back then and from the
uncontrolled emissions from power plants and factories. Cars and
factories and power plants were filling the air with all sorts of
pollutants. There was a valid and serious concern about the health
consequences of this pollution and a strong environmental movement was
developing to demand action. Government accepted this challenge and new
environmental standards were set. Scientists and engineers came to the
rescue. New reformulated fuels were developed for cars, as were new
high tech, computer controlled engines and catalytic converters. By the
mid seventies cars were no longer big time polluters, emitting only
some carbon dioxide and water vapor from their tail pipes. Likewise,
new fuel processing and smoke stack scrubbers were added to industrial
and power plants and their emissions were greatly reduced, as well.
But an environmental movement had been established and its funding
and very existence depended on having a continuing crisis issue. So the
research papers from Scripps came at just the right moment. And, with
them came the birth of an issue; man-made global warming from the
carbon dioxide from the burning of fossil fuels.
Revelle and Keeling used this new alarmism to keep their funding
growing. Other researchers with environmental motivations and a hunger
for funding saw this developing and climbed aboard as well. The
research grants began to flow and alarming hypothesis began to show up
everywhere.
The Keeling curve showed a steady rise in CO2 in atmosphere during
the period since oil and coal were discovered and used by man. As of
today, carbon dioxide has increased from 215 to 385 parts per million.
But, despite the increases, it is still only a trace gas in the
atmosphere. While the increase is real, the percentage of the
atmosphere that is CO2 remains tiny, about .41 hundredths of one
percent.
Several hypothesis emerged in the 70s and 80s about how this tiny
atmospheric component of CO2 might cause a significant warming. But
they remained unproven. Years have passed and the scientists kept
reaching out for evidence of the warming and proof of their theories.
And, the money and environmental claims kept on building up.
Back in the 1960s, this global warming research came to the
attention of a Canadian born United Nation's bureaucrat named Maurice
Strong. He was looking for issues he could use to fulfill his dream of
one-world government. Strong organized a World Earth Day event in
Stockholm, Sweden in 1970. From this he developed a committee of
scientists, environmentalists and political operatives from the UN to
continue a series of meeting.
Strong developed the concept that the UN could demand payments from
the advanced nations for the climatic damage from their burning of
fossil fuels to benefit the underdeveloped nations, a sort of CO2 tax
that would be the funding for his one-world government. But, he needed
more scientific evidence to support his primary thesis. So Strong
championed the establishment of the United Nation's Intergovernmental
Panel on Climate Change. This was not a pure climate study scientific
organization, as we have been lead to believe. It was an organization
of one-world government UN bureaucrats, environmental activists and
environmentalist scientists who craved the UN funding so they could
produce the science they needed to stop the burning of fossil fuels.
Over the last 25 years they have been very effective. Hundreds of
scientific papers, four major international meetings and reams of news
stories about climatic Armageddon later, the UN IPCC has made its
points to the satisfaction of most and even shared a Nobel Peace Prize
with Al Gore.
At the same time, that Maurice Strong was busy at the UN, things
were getting a bit out of hand for the man who is now called the
grandfather of global warming, Roger Revelle. He had been very
politically active in the late 1950's as he worked to have the
University of California locate a San Diego campus adjacent to Scripps
Institute in La Jolla. He won that major war, but lost an all important
battle afterward when he was passed over in the selection of the first
Chancellor of the new campus.
He left Scripps finally in 1963 and moved to Harvard University to
establish a Center for Population Studies. It was there that Revelle
inspired one of his students to become a major global warming activist.
This student would say later, "It felt like such a privilege to be able
to hear about the readouts from some of those measurements in a group
of no more than a dozen undergraduates. Here was this teacher
presenting something not years old but fresh out of the lab, with
profound implications for our future!" The student described him as "a
wonderful, visionary professor" who was "one of the first people in the
academic community to sound the alarm on global warming," That student
was Al Gore. He thought of Dr. Revelle as his mentor and referred to
him frequently, relaying his experiences as a student in his book Earth
in the Balance, published in 1992.
So there it is, Roger Revelle was indeed the grandfather of global
warming. His work had laid the foundation for the UN IPCC, provided the
anti-fossil fuel ammunition to the environmental movement and sent Al
Gore on his road to his books, his movie, his Nobel Peace Prize and a
hundred million dollars from the carbon credits business.
What happened next is amazing. The global warming frenzy was
becoming the cause celeb of the media. After all the media is mostly
liberal, loves Al Gore, loves to warn us of impending disasters and
tell us "the sky is falling, the sky is falling". The politicians and
the environmentalist loved it, too.
But the tide was turning with Roger Revelle. He was forced out at
Harvard at 65 and returned to California and a semi retirement position
at UCSD. There he had time to rethink Carbon Dioxide and the greenhouse
effect. The man who had inspired Al Gore and given the UN the basic
research it needed to launch its Intergovernmental Panel on Climate
Change was having second thoughts. In 1988 he wrote two cautionary
letters to members of Congress. He wrote, "My own personal belief is
that we should wait another 10 or 20 years to really be convinced that
the greenhouse effect is going to be important for human beings, in
both positive and negative ways." He added, "…we should be careful not
to arouse too much alarm until the rate and amount of warming becomes
clearer."
And in 1991 Revelle teamed up with Chauncey Starr, founding
director of the Electric Power Research Institute and Fred Singer, the
first director of the U.S. Weather Satellite Service, to write an
article for Cosmos magazine. They urged more research and begged
scientists and governments not to move too fast to curb greenhouse CO2
emissions because the true impact of carbon dioxide was not at all
certain and curbing the use of fossil fuels could have a huge negative
impact on the economy and jobs and our standard of living. I have
discussed this collaboration with Dr. Singer. He assures me that
Revelle was considerably more certain than he was at the time that
carbon dioxide was not a problem.
Did Roger Revelle attend the Summer enclave at the Bohemian Grove
in Northern California in the Summer of 1990 while working on that
article? Did he deliver a lakeside speech there to the assembled movers
and shakers from Washington and Wall Street in which he apologized for
sending the UN IPCC and Al Gore onto this wild goose chase about global
warming? Did he say that the key scientific conjecture of his lifetime
had turned out wrong? The answer to those questions is, "I think so,
but I do not know it for certain". I have not managed to get it
confirmed as of this moment. It's a little like Las Vegas; what is said
at the Bohemian Grove stays at the Bohemian Grove. There are no
transcripts or recordings and people who attend are encouraged not to
talk. Yet, the topic is so important, that some people have shared with
me on an informal basis.
Roger Revelle died of a heart attack three months after the Cosmos
story was printed. Oh, how I wish he were still alive today. He might
be able to stop this scientific silliness and end the global warming
scam.
Al Gore has dismissed Roger Revelle's Mea culpa as the actions of
senile old man. And, the next year, while running for Vice President,
he said the science behind global warming is settled and there will be
no more debate, From 1992 until today, he and his cohorts have refused
to debate global warming and when ask about we skeptics they simply
insult us and call us names.
So today we have the acceptance of carbon dioxide as the culprit of
global warming. It is concluded that when we burn fossil fuels we are
leaving a dastardly carbon footprint which we must pay Al Gore or the
environmentalists to offset. Our governments on all levels are
considering taxing the use of fossil fuels. The Federal Environmental
Protection Agency is on the verge of naming CO2 as a pollutant and
strictly regulating its use to protect our climate. The new President
and the US congress are on board. Many state governments are moving on
the same course.
We are already suffering from this CO2 silliness in many ways. Our
energy policy has been strictly hobbled by no drilling and no new
refineries for decades. We pay for the shortage this has created every
time we buy gas. On top of that the whole thing about corn based
ethanol costs us millions of tax dollars in subsidies. That also has
driven up food prices. And, all of this is a long way from over.
And, I am totally convinced there is no scientific basis for any of it.
Global
Warming. It is the hoax. It is bad science. It is a high jacking of
public policy. It is no joke. It is the greatest scam in history.
AstraZeneca Is Asked to Expand Warning, Lawyer Says (Update3)
By Margaret Cronin Fisk and Jef Feeley
Jan. 27 (Bloomberg) -- AstraZeneca Plc was asked by U.S.
regulators to strengthen warnings on its antipsychotic drug
Seroquel about potential side effects that can lead to diabetes,
according to court documents.
The U.S. Food and Drug Administration wants AstraZeneca,
the U.K.’s second-largest drugmaker, to highlight on Seroquel’s
warning label that some users experienced “significant weight
gain,” lawyers for consumers suing the company said in a court
filing yesterday. The first trial over claims that Seroquel
caused diabetes is set to begin Feb. 2 in Orlando, Florida.
Letters sent by regulators to the London-based company last
month “reveal FDA directives to AstraZeneca” to expand
Seroquel’s warning label, Richard Laminack, a lawyer for two
former Seroquel users, said in the federal court filing.
AstraZeneca faces about 9,000 lawsuits with more than
15,000 plaintiffs in the U.S. over claims that Seroquel causes
diabetes and other health problems. Seroquel, which generated
sales of $4.03 billion in 2007, is the company’s second-biggest
seller after the ulcer treatment Nexium.
“This warning will reduce the attractiveness of using this
drug, given the risk of developing a serious condition,” said
Navid Malik, an analyst at London-based Matrix Corporate Capital
LLP. He doesn’t have a rating on the stock.
AstraZeneca Shares
AstraZeneca fell 115 pence, or 3.9 percent, to 2,832 pence
in London trading, the biggest drop in two months. The company’s
American depositary receipts, each representing one ordinary
share, declined 83 cents, or 2 percent, to $39.99 in New York
Stock Exchange composite trading.
Johnson & Johnson, maker of the rival antipsychotic
Risperdal, rose 99 cents, or 1.8 percent, to $57.54. Eli Lilly &
Co., maker of the antipsychotic Zyprexa, rose $1.04, or
2.8 percent, to $38.61.
Seroquel’s label has “always provided accurate and
appropriate information and warnings,” Tony Jewell, a spokesman
for AstraZeneca in Wilmington, Delaware, said in an e-mailed
statement. “We continue to work with the FDA to share accurate
information with the public as more scientific data becomes
available about the medicine.”
Jewell declined to comment on whether the FDA had requested
stronger Seroquel warnings and said communications with the
agency were confidential.
Weight Gain
Studies linking Seroquel, Zyprexa and similar
antipsychotic treatments to weight gain and diabetes prompted
the FDA to require that all makers of such medicines warn
doctors about risks in 2003 and 2004.
Obesity is a known risk factor for type-two diabetes, a
metabolic disorder in which the body stops responding to insulin
properly, according to the Centers for Disease Control and
Prevention in Atlanta.
Evidence uncovered in pre-trial exchanges of information
shows that FDA officials advised AstraZeneca executives in
letters of Dec. 18 and Dec. 22 that the “significant weight
gain” reference should be added to the label’s “warnings and
precautions section,” according to Laminack’s filing. It had
been listed under “vital signs” on the label, the lawyer said.
The FDA also wants “data for Seroquel-induced weight
change and glucose changes” moved up into the label’s warning
section, according to the filing.
Karen Riley, an FDA spokeswoman, said she couldn’t
immediately comment on whether the agency had asked AstraZeneca
to toughen Seroquel’s warning.
Expert Witnesses
The FDA’s calls for stronger warnings “mirror” the
contentions of consumers’ expert witnesses, who are seeking to
testify in Linda Guinn’s trial, Laminack said in the filing.
U.S. District Judge Anne Conway hasn’t ruled whether jurors will
be allowed to hear those experts.
“Seroquel and Zyprexa are among the worst offenders
affecting hazardous weight gain and glucose changes,” Laminack
claimed in the filing.
Lilly agreed to pay at least $1.2 billion to settle
lawsuits filed by about 31,000 patients who used Zyprexa. The
Indianapolis-based company said this month it would pay an
additional $1.42 billion to resolve claims by state and federal
officials that it marketed the drug for unapproved uses. Lilly
also agreed to plead guilty to a criminal charge.
AstraZeneca officials have said they will fight each
Seroquel case and don’t plan to settle.
The drugmaker gave the FDA letters to plaintiffs on Jan.
21, Laminack said in the filing. Guinn’s lawyers asked Conway to
punish AstraZeneca for failing to hand over the letters promptly
by delaying the Feb. 2 trial for a month, giving them more time
to gather information about the FDA’s contacts with the company
over the label.
AstraZeneca should be sanctioned for “efforts to hide or
delay the truth” in the Seroquel cases, the consumers’ lawyers
said in court papers.
The case is Guinn v. Astra USA Inc., 07-10291-ACC, U.S.
District Court, Middle District of Florida (Orlando).
Nine dissident scientists at the Food and Drug Administration who say they were forced to approve high-risk medical devices sent a letter to President Obama on Monday stating that agency officials might have made them the targets of a criminal investigation into their complaints.
“It has been brought to our attention that F.D.A. management may
have just recently ordered the F.D.A. Office of Criminal Investigations
(O.C.I.) to investigate us rather than the managers who have engaged in
wrongdoing!” states the letter, which was provided to The New York
Times. “It is an outrage that our own agency would step up the
retaliation to such a level because we have reported their wrongdoing
to the United States Congress.”
Heidi Rebello, an F.D.A. spokeswoman, said she could neither confirm nor deny the existence of a criminal investigation.
The
letter is the latest escalation in a highly unusual internal battle
that has been simmering for nearly a year within the agency’s device
division. The nine scientists have banded together and charged that
agency officials have acted illegally and that patients are routinely
put at risk from high-risk medical devices that are approved for sale
even though manufacturers have never proved that the products are
either safe or effective.
The scientists complained in May to Dr.
Andrew C. von Eschenbach, who was then the F.D.A. commissioner, and the
agency began an internal review that continues. Dissatisfied with the
pace and results of that review, the scientists wrote a letter to
Congress in October pleading for an investigation, and the House
Committee on Energy and Commerce announced in November that it would
begin one, which also continues.
Three weeks ago, the scientists wrote a similar letter to the president-elect’s transition team. And on Monday, the scientists wrote another letter to President Obama.
Confidential
agency documents, which include both e-mail messages and medical
reviews detailing the internal dispute were provided to The Times.
It
can be a crime for agency employees to reveal documents or information
considered confidential by companies seeking agency approval for
medical products.
Some of the scientists’ claims about the
agency’s device approval process were echoed in a report released two
weeks ago by the Government Accountability Office that was also critical of the agency’s device center.
Created
in 1976, the F.D.A.’s process for approving devices divides the
products into three classes and three levels of scrutiny. Tongue
depressors, reading glasses, forceps and similar products are called
Class I devices and are largely exempt from agency reviews. Mercury
thermometers are among Class II devices, and most get quick reviews.
Class III devices include pacemakers and replacement heart valves, and
Congress mandated that manufacturers of Class III devices must prove
through extensive testing that their products are safe and effective.
But
the accountability investigators found that the agency still allowed
manufacturers of most Class III devices to gain approval without
conducting extensive testing. Part of the reason may be that some Class
III devices should be reclassified as Class II devices, while other
such devices simply should be tested more.
The agency has promised for years to fix its device approval process but cannot say when the fix will be completed.
Critics
have long bemoaned the agency’s device approval process, which allows
most devices to be approved with minimal testing. Manufacturers say the
agency is already overly restrictive.
With internal,
Congressional and perhaps now criminal investigations swirling about
the agency’s device division, the controversy regarding device
approvals appears only to be worsening. In Monday’s letter to Mr.
Obama, the nine scientists provided a detailed list of laws that they
claim agency officials have violated.“We are asking for your immediate intervention,” the letter to Mr. Obama stated.
Check out the EnvironmentalWorkingGroup's coverage of the FDA BPA snafu--how the FDA believed the American Chemistry Council when it insisted that this biologically persistent, carcinogenic endocrine disruptor was safe, despite numerous studies showing the exact opposite. Then read this article and ask yourself if there is any part of the FDA that hasn't been bought by industry.
WASHINGTON (Reuters) - A controversial chemical used in many plastic
products may remain in the body longer than previously thought, and
people may be ingesting it from sources other than food, U.S.
researchers said on Wednesday.
The U.S. Food and Drug Administration in December said it planned
more research into the safety of bisphenol A, or BPA, but the agency
indicated no immediate plans to curb the chemical, found in baby
bottles and other products.
Dr. Richard Stahlhut of the University of Rochester and colleagues
looked at levels of the chemical in the urine of 1,469 U.S. adults who
took part in a government health survey.
While the belief had been BPA was quickly and completely eliminated
from the body through urine, this study found people who had fasted for
even a whole day still had significant levels of the chemical.
Stahlhut said this suggested BPA may hang around in the body longer
than previously known or that it may get into the body through sources
other than just food, perhaps including tap water or house dust.
Stahlhut added that BPA may get into fat tissue, from where it might be
released more slowly.
"If it leaves the body quickly, then it reduces the amount of time
when it can cause problems. If it does cause problems, obviously if it
stays around much longer, then that changes the game," Stahlhut, whose
study appears in the Environmental Health Perspectives journal, said in
a telephone interview.
BPA is used in many food and beverage containers, the coating of
food cans and some medical devices. It mimics the hormone estrogen in
the body. People consume it when it leaches from plastic into baby
formula, water or food in a container.
The researchers tracked how urine levels of BPA declined based on
the length of time a person had fasted. But they found that people who
fasted for 8.5 hours, for example, had about the same BPA levels as
those who fasted 24 hours.
Steven Hentges of the American Chemistry Council industry group said
the conclusions of the new study "are speculative at best," and
reiterated the industry view that BPA is safe at current levels of
exposure.
U.S. government toxicologists at the National Institutes of Health
last year expressed concern that BPA may have harmful effects on the
development of the prostate and brain and induce behavioral changes in
fetuses, infants and children.
A 2008 study by British researchers showed that high levels of BPA
in the body were linked to heart disease, diabetes and liver-enzyme
abnormalities.
Not happy with convincing the CDC that teens are at high risk for meningitis, Big Pharma is preparing an infant meningitis vaccination, Novartis's Menveo, expected to be sent for FDA approval in 2011. Thirty-five shots by age six isn't enough, I guess...
from WSJ today:
Novartis, based in Basel, also reported a small pipeline setback,
saying it will file meningitis vaccine Menveo for approval for use in
infants in 2011, which is later than planned. This comes after the U.S.
Food and Drug Administration asked to test the vaccine on an additional
1,500 infants.
With little scrutiny or controversy, Lisa Jackson was confirmed by
the Senate to head the Environmental Protection Agency after a
confirmation hearing where criticisms of Jackson's tenure as head of
the New Jersey Department of Environmental Protection were given short
shrift.
In her first move as EPA chief, Jackson pledged to make science "the backbone for EPA programs."
In a memo sent to EPA employees, Jackson said that reducing greenhouse
gas emissions, managing chemical risks, cleaning up hazardous waste and
protecting America's water would receive her personal attention.
Questions
about these aspects of her record were only briefly addressed at her
confirmation hearing. Sen. Barbara Boxer (D-CA), chair of the
Environment and Public Works Committee, saved these questions for what
she called a "lighting round" that took place in the final minutes of
Jackson's confirmation.
During the "lighting round," Jackson for
the first time acknowledged there was a delay between her agency's
discovery that a day care center was built inside an abandoned
thermometer factory contaminated with mercury and her demand that the
day care center be shutdown.
In
the hearing, Jackson said that in fact, months passed before her
department shut down the day care center because the department waited
for mercury test results to come back. "I know that in hindsight we all
wish things had turned out differently, and that's really what I would
say to the parents," said Jackson.
Next, Jackson defended her record on perchlorate, a chemical in rocket fuel that was found in six out of 123 public drinking water wells
in New Jersey. Each well served at least 10,000 people. Studies link
perchlorate to thyroid damage that can slow brain development in
children.
In October 2005, New Jersey was urged to regulate
the chemical by a panel of state scientists, environmental activists
and industry leaders. Three years later, the DEP still hasn't completed
a draft of the rule.
In the hearing Jackson admitted the standard
was late, but assured the Senate her agency was closely monitoring
perchlorate levels and the proposed rule should be out by the end of
the month.
Two weeks ago the Bush administration's EPA announced it would delay its decision
on whether to set a national drinking water standard for perchlorate
until it receives advice from the National Academy of Sciences,
effectively punting the decision to Jackson.
Boxer asked Jackson
if she would "commit to immediately review this failure to establish a
drinking water standard for perchlorate and act to address the threat
to pregnant women and children caused by this dangerous toxin?"
Jackson promised that she would.
As NJDEP administrator, Jackson also came under fire for her approach toward toxic waste sites scattered throughout New Jersey.
Jackson was accused of failing to prioritize New Jersey's 16,000 sites, a promise she made
shortly after she became head of the department in 2006. In the
hearing, Jackson said the department's development of the ranking
system is "not quite done yet, so it's late, but it's late because it
relies on GPS technology, and for the first time ever, site-specific
pollution data."
Jackson also supported a controversial proposal
backed by New Jersey Gov. Jon Corzine to outsource the department's
cleanup efforts to consultants. The policy could result in cleanups
being conducted by groups that also work for the companies responsible
for the contaminated sites.
Boxer, an ardent critic of the Bush
administration's handling of the federal government's Superfund program
to clean up toxic waste, questioned Jackson's support of the Corzine
proposal. But Jackson said she wouldn't use private consultants at
federal Superfund sites because "of the differences in the way New
Jersey manages its program versus the federal program."
Jackson's approach toward one contaminated site in particular created quite a stir in New Jersey. At issue were wide swaths of valuable land laden with chromium, a carcinogenic chemical.
In one of her first moves as the head of New Jersey's environment department, Jackson lifted a moratorium on residential development on chromium contaminated land, and tightened New Jersey's chromium standard.
But
New Jersey department scientist, Zoe Kelman, protested that decision,
saying that it was premature because a more comprehensive study on
chromium was due to be completed by the National Toxicology Program
later that year. When that report came out, Jackson did not revisit New
Jersey's chromium standard or her decision to lift the moratorium on
development.
Kelman, who quit the department out of frustration,
says that Jackson "ignored" a letter she wrote about how a protective
cap made out of synthetic materials and soil would not sufficiently
control chromium-laden waste in Jersey City.
While Jackson was
not specifically asked about her history on chromium at her
confirmation hearing, Sen. Boxer did ask whether Jackson would regulate
the chemical in drinking water as head of the EPA. Again, Jackson
assured the senator that she would abide by her request.
The EPA's ailing chemical risk assessment program may be one of the more daunting challenges that Jackson will face at the EPA.
Last week, the Government Accountability Office released a report adding the program to its list of 30 "high-risk" federal programs.
"EPA
does not have sufficient chemical assessment information to determine
whether it should establish controls to limit public exposure to many
chemicals that may pose substantial health risks," the report said.
The only apparent snag in Jackson's confirmation was Sen. John Barasso's (R-WY) concerns about the division of labor between Jackson and Obama's appointed White House "climate czar," Carol Browner.
Barasso removed his hold on the confirmation after speaking to Browner and Jackson, clearing the way for her confirmation.
Shares of KV Pharmaceutical
plummeted to an all-time low Monday morning after the company said it
would recall most of its products and halted its manufacturing and
shipping operations.
The announcement followed two product
recalls in November and December linked to oversize tablets, including
painkillers and attention-deficit disorder drugs, which could deliver
dangerously large doses.
The company said the exact terms of the latest voluntary recall are
still in discussion with safety regulators at the Food and Drug
Administration. The agency began investigating KV's manufacturing and
quality control standards late last year.
In a regulatory filing
Monday, the company warned investors that the FDA could pursue
"judicial proceedings and criminal prosecution."
Shares of KV Pharmaceutical Co.
(nyse:
KVA -
news
-
people
)
plunged to a record low of 49 cents in morning trading, but recovered
slightly to 58 cents, or down 74.1 percent, by early afternoon.
The company said the recall and suspension would have a significant
impact on its financial position and warned that it could default on
its credit agreement. At the end of 2008 the company owed $30 million
on the agreement.
KV's board of directors also said it formed a
special five-person committee to respond to charges that the company
violated certain securities laws.
The company faces class action lawsuits by investors as well as an
informal inquiry by investigators at the Securities and Exchange
Commission.
In an unrelated setback, the company said the FDA has delayed a
decision on the company's experimental drug Gestiva, which is designed
to prevent preterm birth. The company had previously told investors a
decision would be issued by Jan. 25, but regulators have requested
additional data on the drug.
In a disclosure nearly drowned out by news of its $68 billion acquisition of Wyeth, Pfizer
Inc. said it agreed to pay $2.3 billion to settle a federal
investigation into its alleged off-label marketing of the now-withdrawn
painkiller Bextra.
The settlement, which requires the approval of a federal judge,
would be the largest ever paid by a drug company to resolve alleged
marketing missteps. It easily eclipses the $1.4 billion Eli Lilly & Co. agreed to pay earlier this month to settle similar charges related to its antipsychotic medicine Zyprexa.
Pfizer mentioned the settlement in two sentences in a news release
about its earnings. The $2.3 billion charge it took for the deal -- the
New York company described the figure as "pretax and after tax" -- is
the main reason its fourth-quarter net income fell 90% to $266 million
from $2.72 billion a year earlier.
Pfizer released its earnings at the same time it announced an
agreement to acquire Wyeth to form a pharmaceutical behemoth that would
have annual revenues of more than $70 billion.
On Monday, Pfizer declined to elaborate on the settlement. A
spokeswoman for Michael Sullivan, the U.S. attorney in Massachusetts
who led the probe, declined to comment.
By law, doctors are allowed to prescribe Food and Drug
Administration-approved drugs as they see fit. But it is illegal for
drug makers to market them for off-label, or unapproved, uses.
The FDA approved Bextra to treat arthritis, rheumatoid arthritis and
menstrual pain. It isn't clear what off-label uses Pfizer's marketing
of Bextra allegedly involved. The company settled another case in
October in which the Kentucky state attorney general complained that
Pfizer promoted Bextra for acute and surgical pain, despite lacking
approval for such uses.
Pfizer withdrew Bextra from the market in 2005 in the wake of Merck & Co.'s decision to pull Vioxx after that drug was linked to increased heart-attack risk.
The pact follows Pfizer's October accord to pay $894 million to
settle most of the personal-injury suits filed against it by patients
who took Bextra or painkiller Celebrex, and alleged they had
cardiovascular damage from the drugs.
Study Finds High-Fructose Corn Syrup Contains Mercury
01.25.09, 08:00 PM EST
Half of batches tested positive, third of popular sweetened products showed traces
MONDAY, Jan. 26 (HealthDay News) -- Almost half of tested
samples of commercial high-fructose corn syrup (HFCS) contained
mercury, which was also found in nearly a third of 55 popular
brand-name food and beverage products where HFCS is the first- or
second-highest labeled ingredient, according to two new U.S.
studies.
HFCS has replaced sugar as the sweetener in many beverages and
foods such as breads, cereals, breakfast bars, lunch meats,
yogurts, soups and condiments. On average, Americans consume about
12 teaspoons per day of HFCS, but teens and other high consumers
can take in 80 percent more HFCS than average.
"Mercury is toxic in all its forms. Given how much
high-fructose corn syrup is consumed by children, it could be a
significant additional source of mercury never before considered.
We are calling for immediate changes by industry and the [U.S. Food
and Drug Administration] to help stop this avoidable mercury
contamination of the food supply," said the Institute for
Agriculture and Trade Policy's Dr. David Wallinga, a co-author
of both studies.
In the first study, researchers found detectable levels of
mercury in nine of 20 samples of commercial HFCS. The study was
published in current issue of Environmental Health.
In the second study, the agriculture group found that nearly one
in three of 55 brand-name foods contained mercury. The chemical was
most common in HFCS-containing dairy products, dressings and
condiments.
The use of mercury-contaminated caustic soda in the production
of HFCS is common. The contamination occurs when mercury cells are
used to produce caustic soda.
"The bad news is that nobody knows whether or not their
soda or snack food contains HFCS made from ingredients like caustic
soda contaminated with mercury. The good news is that mercury-free
HFCS ingredients exist. Food companies just need a good push to
only use those ingredients," Wallinga said.
More information
The U.S. Agency for Toxic Substances & Disease Registry has
more about mercury and health.
The summer after my sophomore year at Harvard, I worked at a small public relations and marketing firm. One PR technique we used was sending press releases to news outlets, written exactly as we would like an article to appear. My boss, a savvy woman with a PhD from Penn, told me that a lot of times, reporters will be too lazy to research a story, and will need material, so they'll just reprint the whole press release, verbatim. Even the ones who do a bit of rewriting, she told me, will often pull the quotations directly from the press release as if they had interviewed the quotee themselves.
You may have read a couple of articles lately about how Massachusetts' new legislation (requiring doctors to disclose how much money they've been given by Big Pharma) is going to crush the hospitality industry in Massachusetts. Just keep in mind what my boss told me, particularly when you read the article on MedPageToday, with its right sidebar of Big Pharma ads. Who pays for this "publication"? Who provides its content? Who really wrote this article?
Medical Group Pulls Meeting from Boston Over State Ethics Law
By John Gever, Senior Editor, MedPage Today Published: January 22, 2009
BOSTON,
Jan. 22 -- The American Academy of Allergy, Asthma and Immunology has
cancelled plans to hold its 2015 annual meeting here, citing a strict
new Massachusetts law regulating medical industry marketing.
The AAAAI interpreted the
new law as forcing it to call off its lucrative continuing medical
education activities because corporate participation would be
disallowed.
The move by the AAAAI,
which is based in Milwaukee, fulfilled the prediction by the state's
hotel and hospitality industry that there would be unintended negative
consequences of the new law.
Enacted last August, the
law puts the state in the forefront of efforts to restrict the drug and
device industries from overpromotion of their products to physicians
and other providers.
It prohibits
pharmaceutical and medical device companies from giving certain gifts
to physicians, including paper pads, pens, coffee mugs and the like
that are not educational in nature.
It also bans companies
from providing free entertainment (such as sports tickets) and, under
some circumstances, free meals. It requires that companies disclose all
payments to physicians and other providers in excess of $50.
In addition, it
disallows industry from sponsoring or supporting CME activities that do
not meet standards for industry support set by the Accreditation
Council for Continuing Medical Education (ACCME) or an equivalent body.
In
a letter to the Boston Convention Marketing Center, which runs the
facility at which the 2015 meeting was to have been held, AAAAI
executive director Kay Whalen wrote that the group's board believed the
law may effectively disallow CME credits for any part of the meeting.
"The board was also
concerned about any additional legislation that may be passed prior to
the 2015 meeting," the letter said. "Therefore, the board felt it may
no longer be financially feasible to hold the annual meeting in
Boston."
Whalen said the law's ban on gifts was also a concern, but the restrictions on CME were the main problem.
The
Massachusetts law left the detailed interpretation to the state's
public health department, which is now finalizing the specific rules.
The Massachusetts Medical Society was generally supportive of the draft regulations.
But,
it said in a comment letter submitted to the department, their
reporting requirements -- covering virtually all transactions worth
more than $50 -- "may create a paperwork nightmare for industry which
could lead to a de facto cessation of all distribution of samples or
educational materials in Massachusetts."
The society said that if
the reporting requirement covered educational materials, it could
adversely affect its own CME programs as well as the New England Journal of Medicine, which it publishes.
Local
hotels warned that the state could lose much of its medical convention
business and urged delay in implementing the regulations until the full
consequences could be analyzed.
A letter from the
Massachusetts Lodging Association stated, "We are very concerned that
should the companies that are subject to this law find any element of
the new regulations onerous, Massachusetts hotels could lose
significant business and, as a result, be forced to lay off staff.
Similarly, municipal and state fiscal coffers, which rely heavily on
such business, may be significantly impacted."
Drug and device
companies also expressed unhappiness with the draft regulations,
although they were more concerned about the reporting requirements for
their interactions with physicians and other providers.
The regulations would require companies to disclose all payments "or other economic benefits" to providers of more than $50.
The
state public health department has said in its public statements that
the provision includes product samples, although the regulation itself
does not mention them specifically.
Several drug companies
and industry groups urged the department to declare that product
samples are not included, because they benefit patients, not providers.
Some companies also said that disclosing the value of product samples would expose confidential pricing information.
Firms
with operations in Massachusetts said many of the requirements would
hinder their local activities and discourage other companies from
locating there.
State officials and
groups supporting the regulations said other states and perhaps the
federal government would eventually follow Massachusetts' lead, so the
state would no longer be at a disadvantage.
The comment period ended Jan. 19. The department is expected to issue final rules shortly.
The
AAAAI has not yet identified a new location for its 2015 meeting.
Whalen said many venues suitable for the event are already booked, and
the group has to make an irrevocable final arrangement soon.
She said the group could
reconsider Boston if the CME restrictions are relaxed in the final
regulation. But it would have to be issued before AAAAI's annual
meeting this year, scheduled for mid-March.
New drug firm limits prompt fears of falloff in medical meetings in city
By
Liz Kowalczyk
Globe Staff
/
January 24, 2009
Boston's status as a popular destination for medical industry meetings
- which generate tens of millions of dollars in revenue for hotels,
restaurants, and the state - is at risk because of new regulations
restricting financial relationships between pharmaceutical companies
and doctors, according to industry executives.
The city hosted 2,500 medical and pharmaceutical company meetings in
2007 and 2008, attended by thousands of doctors and other clinicians;
hotels earned $130 million from those meetings, while the state
received about $16 million in tax payments, according to the Greater
Boston Convention and Visitors Bureau. About 40 percent of the city's
convention business is medical-related.
But now, with strict new
regulations set to take effect July 1, some meeting sponsors are
considering pulling out of Boston, said Patrick Moscaritolo, president
of the convention bureau, who wants the state to delay im plementation
of the law. At least two large medical conferences already have
withdrawn.
One consumer group and a legislator who pushed for the
law called the concerns far-fetched. Health Care for All, a
Boston-based consumer advocacy group that is lobbying for even stricter
regulation of industry interactions with physicians, said the medical
groups are engaging in "fear-mongering" as a way to cast doubt on the
new rules, which will be finalized within the next two months.
The
American Academy of Allergy, Asthma and Immunology, however, wrote the
convention bureau three weeks ago to say it has decided to relocate its
2015 annual meeting, with an estimated 8,000 doctors and other
participants, which had been scheduled for theBoston
Convention and Exposition Center. The group cancelled hundreds of rooms
reserved for the meeting at the Westin Boston Waterfront. Conventions
are planned years in advance.
Another group, the American Society
of Gene Therapy, informed the convention bureau this week in writing
that it has decided against booking its 2015 annual meeting in Boston
because the regulations will "cripple the content and quality."
A
third group, the Heart Rhythm Society, wrote to convention officials
that it is reconsidering its commitment to hold five meetings in Boston
between this year and 2021.
The groups said in the letters and in
interviews with the Globe that one of their concerns is that the
state's regulations, which establish a code of conduct for
pharmaceutical company employees, will limit participation by drug
company scientists in meetings and continuing medical education courses
in Massachusetts.The state's rules say that continuing medical
education courses, which doctors must take to keep their licenses, must
comply with guidelines issued by the Accreditation Council for
Continuing Medical Education.Kay Whalen, executive
director of the allergy academy, and David Bodine, president of the
gene therapy society, said this requirement isa major
problem. Those guidelines don't allow presentations by drug company
employees, and Whalen believes that Massachusetts intends to go further
by saying drug company scientists cannot present research even for
courses not for education credit.
"Quite a bit of cutting-edge research is done by pharmaceutical
companies and scientists want to hear it," Whalen said. "Our reading of
this law is we could not have those sessions at all."
"That's absolutely false," said Amy Whitcomb Slemmer, executive
director of Health Care for All. "Of course company scientists can
present. But having providers get education credit for that is not
appropriate. It's an advertisement."
Public health officials said
the regulations actually do allow company scientists to present at
meetings in Massachusetts, but with caveats: The presentations must
present information in an objective fashion and cannot simply be
promotional talks for the company's products.
Drug companies participate heavily in medical meetings across the countryin
other ways as well, by paying for meals and subsidizing tuition and by
hawking their products to doctors from rows of exhibits set up on
convention floors. The new regulations will prohibit companies with
booths from distributing free merchandise to Massachusetts doctors,
state public health officials confirmed.
The regulations written
by state Public Health Department staff are intended to implement a law
passed by the Legislature last summer, which bans companies from
providing gifts to physicians, limits when companies can pay for
doctors' meals, and requires companies to publicly disclose payments to
doctors over $50 for certain types of consulting and speaking
engagements. The law aims to control costs by reining in unnecessary
prescribing of expensive drugs and to make doctors' potential
conflicts-of-interest transparent to the public.
The new rules
also govern drug company conduct at scientific meetings, professional
conferences, and continuing medical education courses in Massachusetts.
They allow firms to sponsor such meetings,as they do
now, but with restrictions: Companies cannot pay for attendees'
personal expenses such as travel and lodging, or pay them to attend.
Companies cannot pay for meals for specific groups of doctors in
attendance, but conference organizers can use pharmaceutical company
funds toward meal costs for everyone. And, drug companies cannot
dictate to conference organizers on the presentations made to
physicians.
Tom Lyons, Public Health Department spokesman, said the agency received 1,000 pages of comments on the proposed regulations from 120 groups and individuals -the
most on any regulation in recent memory. "We will give due
consideration to every comment that has been submitted, but we believe
we have a very balanced regulation," he said.
On the opposite
side, consumer groups and others are heavily lobbying health officials
to tighten the rules. One criticism by Health Care for All and some
legislators is that companies will not be required to disclose payments
to doctors for research-related activities.
The Public Health Council plans to approve a final version of the rules in February or March.
"I
don't buy that this will have any material effect on the convention
business in Massachusetts," said Senator Mark C. Montigny,a
New Bedford Democrat who has pushed for years to ban industry
gift-giving. "But even if it does, I would say it's completely
irrelevant. We're talking about rules to protect the public health
here."Liz Kowalczyk can be reached at kowalczyk@globe.com
In 2006, the FDA approves Gardasil, which is what parents give their daughters if they don't feel like talking to them about sex. It's a vaccine that can protect against four strains of the human papilloma virus, so you can see why vaccinated girls (as young as nine years old, with the ACIP recommending 11 or 12 as the target age) might think that they can have sex without a condom and face no consequences--particularly since their parents would clearly rather spend a few hundred dollars on a vaccine than talk to their daughters about responsible sexual practices (or, God forbid, abstinence).
Now comes news that 2006 was also the beginning of a jump in teen pregnancies. I wonder how much more teen pregnancy rates (and AIDS infection rates, for that matter) will increase...
http://www.judicialwatch.org/gardasil
Judicial Watch Investigates Side-Effects of HPV Vaccine
Wed, 05/14/2008 - 14:05 — gstasiewicz"The
FDA adverse event reports on the HPV vaccine read like a catalog of
horrors. Any state or local government now beset by Merck’s lobbying
campaigns to mandate this HPV vaccine for young girls ought to take a
look at these adverse health reports."
-Tom Fitton
On June 8, 2006, the Food and Drug Administration (FDA) approved the
drug Gardasil. Gardasil is a vaccine against certain types of human
papillomavirus (HPV) which is the primary cause of cervical cancer in
women.
Several state and local governments have proposed requiring the vaccine for school girls entering the 6th grade.
Gardasil is approved for girls as young as nine years old, despite
the fact that the youngest girls participating in clinical trials were
11-12 years old.
A recent study, published in the New England Journal of Medicine,
also questioned the general effectiveness of Gardasil. Additionally,
there has not been a chance to study long term side effects of the
vaccine.
Judicial Watch, concerned about the rush to market and mandate a
drug with possible serious adverse effects, filed its first Freedom of
Information Act (FOIA) request on May 9, 2007, and received 1,637
adverse event reports on May 15, 2007. These reports are submitted to
the Vaccine Adverse Event Reporting System (VAERS) and used by the FDA
to monitor the safety of vaccines.
On August 20, 2007 Judicial Watch filed a request for updated
adverse event reports and received 1,824 reports on September, 13 2007.
Judicial Watch then filed a complaint against the FDA on October 3,
2007 for failing to fully respond to the May 9, 2007 FOIA request.
Judicial Watch has posted links to the adverse event reports below
and continues to monitor VAERS reports submitted to the FDA in relation
to Gardasil.
By Kristina Fiore, Staff Writer, MedPage Today Published: January 07, 2009
HYATTSVILLE,
Md., Jan. 7 -- The birth rate among girls ages 15 to 19 jumped 3% in
2006, increasing for the first time in 15 years, according to the CDC's
National Center for Health Statistics.
The 2006 rate was 41.9 per
1,000 girls in that age group, up from 40.5 in 2005, Stephanie Ventura,
M.A., of the CDC, and colleagues reported in the Jan. 7 issue of National Vital Statistics Reports.
Significant
increases in teen births were observed in 26 states, the researchers
said, with the highest rates in the South and Southwest.
"The fact that we have
26 states with an increase in one year is noteworthy because it takes a
lot for state-specific rates to change in one year," Ventura said.
"Those changes are not usually statistically significant."
The highest teen birth rates occurred in Mississippi (68.4 per 1,000 girls), followed by New Mexico (64.1) and Texas (63.1).
The
lowest rates occurred in the Northeast, led by New Hampshire (18.7 per
1,000 girls), Vermont (20.8) and Massachusetts (21.3).
Only North Dakota, Rhode Island, and New York saw a decrease in teen birth rates between 2005 and 2006.
Researchers
said the teen birth rate declined 34% between 1991 and 2005, with
steeper decreases between 1994 and 2003. Decreases were about 1% a year
in 2004 and 2005.
"[The slowdown] might
have been an early warning sign that the decrease was coming to a halt,
at least temporarily," Ventura said. "This year's increase might be
just a further reflection of that."
Ventura said the data
imply that previous messages about teen pregnancy may "need to be
fine-tuned," as "today's youth have different attitudes towards
pregnancy," pointing to examples such as the Massachusetts high school
students who took part in a "pregnancy pact" and an increasing number
of young celebrities becoming mothers.
She added that it's hard to speculate whether the trend will continue.
Birth
rates did decrease among the youngest teens -- those ages 10 to 14 --
falling to 0.6 births per 1,000 in 2006 from 0.7 per 1,000 in 2005.
The greatest increase
was seen among the oldest teens, ages 18 to 19, with a 4% jump over
last year. In the 15- to 17-year-old group, there was a 3% increase.
When broken down by
demographics, rates of teen births were highest among non-Hispanic
black teens, with a 5% increase from 2005.
Teenagers may be
mirroring to a degree what's going on in the rest of the population.
Birth rates increased among women in nearly all age groups, especially
among those ages 20 to 24 and 40 to 44, the researchers said.
The total number of births in the U.S. was 3% higher in 2006 than in 2005 -- the largest single-year increase since 1989-1990.
And the number of births in 2006 (approximately 4.3 million) was the largest since 1961, according to the researchers.
Rates among women ages 20 to 24 jumped 4% from 2005, after a downward trend between 1990 and 2004.
Women
ages 40 to 44 saw a 3% increase in birth rates year over year, with the
rate for this age group more than doubling since 1981, the researchers
said.
And for the oldest mothers -- those 50 and up -- birth rates jumped 18%, to 494 in 2006 from 417 in 2005.
Ventura
said most of these are multiple births, as older women turn to assisted
reproductive technologies (ART) to become pregnant.
Joyce A. Martin, M.P.H.,
of the CDC, a co-author of the report, said that data on multiple birth
rates was particularly important, as the twin rate did not change for
the second year in a row, and the triplet rate declined significantly.
"This is important
because these are such high-risk births," she said. "This may be
related to the decreased transfer of eggs in the ART process."
She added that in the
late 1990s, the Society for Reproductive Medicine issued guidelines
calling for a reduction in the number of embryos transferred with the
aim of reducing the number of multiple births.
Dr. Martin said the
stabilizing of the twin birth rate was "a bit of a surprise because for
some years after these recommendations were made, twin rates did
continue to go up. Only in the last couple years did they start to
stall."
EPA Sends Big Stone II Coal Plant Back To Drawing Board
Less than three days after the Bush Administration left office, the
Environmental Protection Agency (EPA) has overturned the State of South
Dakota's approval of the massive BigStone II coal-fired power plant.
The EPA's decision comes after the state failed to require
state-of-the-art pollution controls for the coal plant that would
address concerns about harmful soot, smog and global warming pollution.
The
Obama administration has appointed an infectious disease and disaster
preparedness expert as acting director of the U.S. Centers for Disease
Control and Prevention.
Richard Besser, who headed the CDC's public health emergency
preparedness and response functions, succeeds Julie Gerberding, who
stepped down with the change in administration after six years of
leading the federal agency.
It wasn't clear whether Dr. Besser would be Dr. Gerberding's
permanent successor. An email to CDC employees Thursday said that Dr.
Besser would serve as acting director until a permanent director is
named and assumes the role.
Dr. Gerberding, who officially stepped down when President Obama was
sworn in this week, was originally to be replaced temporarily by
William Gimson III, the agency's chief operating officer, until a
permanent successor was named. People familiar with the agency said Dr.
Besser was named instead because Mr. Gimson is not a medical doctor, a
qualification considered important to head the public health agency
even temporarily.
Dr. Besser, 49 years old, is a CDC veteran with wide public health
experience. A pediatrician by training, he served in the CDC's Epidemic
Intelligence Service, tracking foodborne diseases, followed by several
years working on infectious disease issues. He spearheaded a national
campaign to prevent overuse of antibiotics, a practice which helps to
spawn antibiotic resistant bugs.
Most recently, he has been director of the Coordinating Office for
Terrorism Preparedness and Emergency Response, which handles public
health emergency preparedness and emergency response.
By Lisa Richwine Lisa Richwine
–
Thu Jan 22, 5:42 pm ET
WASHINGTON (Reuters) –
Drug and medical device manufacturers
would need to publicly disclose all doctor payments and gifts exceeding
$100 per year under U.S. legislation unveiled on Thursday.
Companies would face penalties as high as $1 million for knowingly failing to report the payments if the bill by Iowa Republican Sen. Charles Grassley and Wisconsin Democrat Herb Kohl becomes law.
The effort is meant to shine light on the industry's lavish gifts to
doctors, which range from pricey dinners to golf vacations, as well as
consulting and speaking fees.
Critics have said the payments may skew doctors' decision-making.
"The goal of our legislation is to lay it all out, make the information
available for everyone to see, and let people make their own judgments
about what the relationships mean or don't mean," Grassley said in a
statement.
The information would be posted online for public viewing, the senators said.
Kohl said he was confident the legislation, called the Physician
Payment Sunshine Act, would pass in the current Democratic-led Congress.
A previous version did not advance in the last congressional session.
It required public reporting only if payments topped $500 per year.
Drug and medical device makers supported the earlier version and said on Thursday they were reviewing the new measure.
Pfizer Inc said paid collaborations between doctors and drugmakers "lead to valuable scientific innovations and improved patient care."
"We agree with the senators that sharing this information publicly in a
simple and uniform manner is the best way to provide a complete
picture," a Pfizer statement said.
Some manufacturers are moving ahead with voluntary efforts. Eli Lilly
& Co will begin disclosing physician payment information later this
year.
Medical device makers believe disclosures should provide "meaningful
information ... in an appropriate context," said Stephen Ubl, president
of industry group AdvaMed.
A voluntary device industry code of ethics prohibits companies from
providing entertainment or recreation for doctors, AdvaMed said.
Grassley said he is considering if reporting requirements should also apply to industry payments to medical organizations, hospitals, pharmacy benefit managers, pharmacists and pharmacies, continuing medical education groups and medical schools.
Kohl chairs the Senate Special Committee on Aging and Grassley is the highest-ranking Republican on the Senate Finance Committee.
(Reporting by Lisa Richwine; Editing by Richard Chang and Carol Bishopric)
WASHINGTON (Reuters) – The U.S. agency responsible for keeping the
public safe from harmful drugs and foods was added to a list of
"high-risk" areas of the federal government because it may not be able
to adequately do its job, the Government Accountability Office said on Thursday.
The GAO said the U.S. Food and Drug Administration (FDA) was being
hampered by globalization, more complex products and laws that have
made it more difficult for the FDA to ensure the safety of pharmaceuticals, biologic drugs and medical devices.
The GAO releases this list at the start of each new Congress to help lawmakers set priorities.
The Institute of Medicine
and advocacy groups have noted challenges to the FDA's ability to keep
dangerous and ineffective products off the U.S. market. The FDA itself
has acknowledged that it needs retooling.
"We need your partnership to reshape the agency and to provide us with
the resources and legislative authorities necessary to support our
work," Acting FDA Commissioner Dr. Frank Torti told members of Congress in a statement dated January 21.
In response to the GAO report, FDA spokeswoman Karen Riley said,
"Ensuring that the food and the medical products Americans use are safe
is among the highest priorities of the FDA."
GAO investigators said the FDA needs to have better data on its
inspections of facilities in other countries and conduct more
inspections.
It also must "more systemically review the claims made in drug
advertising and promotional material, and ensure that drug sponsors
accurately report clinical trial results."
The GAO updated list is on its website at http://www.gao.gov/products/GAO-09-271
(Reporting by Susan Heavey, editing by Maureen Bavdek, Toni Reinhold)
WASHINGTON (Reuters) - The sole source of the U.S. salmonella
outbreak involving contaminated peanut butter appears to be the Peanut
Corp of America's Blakely, Georgia processing facility, federal
officials said on Wednesday.
More than 125 products including cookies, crackers, ice cream and
even some pet food have been recalled in connection with the outbreak,
the U.S. Food and Drug Administration said.
Six deaths may be associated with the outbreak, the U.S. Centers for
Disease Control and Prevention said. The CDC said at least 486 people
from 43 states and one person in Canada have been reported ill from the
outbreak of the Salmonella typhimurium strain, with 107 of them being
hospitalized.
Stephen Sundlof, director of the FDA's Center for Food Safety and
Applied Nutrition, said Connecticut health authorities tested an
unopened container of peanut butter from the PCA's Blakely plant and
discovered the strain linked to the outbreak of illness.
The fact that the unopened container had the strain indicates
contamination did not occur after it was shipped from the facility,
Sundlof said. Coupled with previous evidence, Sundlof said authorities
believe the Blakely plant is the only source of the outbreak.
"That is our assumption at this point. We will continue to follow up
on any leads that point us in a different direction," Sundlof told
reporters during a conference call.
The plant is not currently operating, he said.
Sundlof said he expects the number of recalled products to continue to increase.
Among the latest was by NutriSystem Inc, which announced on
Wednesday a voluntary recall of its peanut butter granola bar. On
Tuesday, PetSmart Inc, the largest U.S. pet-products and services
retailer, recalled seven of its Grreat Choice Dog Biscuit products.
General Mills Inc, Kellogg Co and other companies also have recalled products.
Authorities say peanut butter sold on grocery store shelves does not appear to be involved.
PCA has recalled peanut butter and peanut paste products
manufactured since July at the Blakely plant because of potential
Salmonella contamination. Peanut paste is a concentrated product
consisting of ground, roasted peanuts.
PCA manufactures peanut butter and peanut paste distributed to food
manufacturers to be used as ingredients in commercially produced
products. PCA peanut butter also is served in long-term care facilities
and cafeterias.
Salmonella can cause abdominal cramping, diarrhea and fever and it can kill the very young and very old.
"More cases are being reported every day. The outbreak appears to be ongoing," Dr. Robert Tauxe of the CDC said.
Minnesota authorities previously tested an opened container from the plant, and found the Typhimurium strain.
Sundlof said a federal inspection of the Blakely plant turned up
evidence of salmonella on the floor, but not the Typhimurium strain.
"It does indicate that there are problems within the plant because salmonella should not be found there," he said.
(Editing by Julie Steenhuysen and Cynthia Osterman)
Because when you let Big Chemical decide to use the cheapest possible components to make paint, you'll end up with PCBs in your schools--decades after even our poky ol' government has caught on to their toxicity and banned them.
Mystery PCB surfaces in Chicago, baffling researchers
Experts say samples in air could come from old paint
By Michael Hawthorne |Tribune reporter
January 22, 2009
More than three decades after highly toxic PCBs were banned in the United States, an unusual PCB compound has turned up in the air outside several Chicago schools.
Polychlorinated
biphenyls are a group of chemicals that once were widely used as
coolants and lubricants but were outlawed after studies linked them to
cancer, liver and kidney damage and other ailments.
Hundreds
of sites around the nation are contaminated with PCBs, which are known
as persistent chemicals because they don't break down in the
environment and can build up in people and animals. PCBs move easily
among land, water and air, and scientists know several of the chemicals
tend to be present in the air Chicagoans breathe.
But a study by University of Iowa
researchers published late last year in the journal Environmental
Science & Technology is the first to detect PCB-11 in air samples.
They were surprised to find it because PCB-11 isn't a chemical that was intentionally manufactured and marketed.
"We
might have done a pretty good job shutting down direct sources of
PCBs," said Keri Hornbuckle, a civil and environmental engineering
professor who oversaw the study. "But this shows we aren't doing enough
to shut down what's still out there."
The researchers speculated
that the concentrations detected in the air in multiple Chicago
locations could be coming from old paint, as other research has found
the compound in wastewater from factories that produce yellow pigment.
Or,
they said, it could be a previously unknown pollutant in smokestack
emissions produced when paint is manufactured. The molecular structure
of PCB-11 is similar to a chemical still used in yellow pigment,
according to the study.
As part of a larger project examining
PCBs in the Chicago area, Hornbuckle and her colleagues mounted air
monitors atop two vans that provide medical services in low-income
neighborhoods. Samples were collected outside nearly 40 schools.
The
team found concentrations of several PCBs in the air, as expected, but
they were surprised to find levels of PCB-11 in virtually every sample.
Most
of the schools are in old industrial neighborhoods on the Northwest,
West and Southeast Sides. The highest concentrations were found outside
Casals Elementary in Humboldt Park and St. Gall Elementary in Gage Park.
Representatives from the Chicago Public Schools and the Chicago archdiocese said they were unaware of the study. Officials at the Illinois Environmental Protection Agency
said they would need to conduct more air sampling and review scientific
papers about PCB-11 before deciding whether to investigate further.
PCBs were dumped for years with little or no regulation and contaminated dozens of waterways around the country, including Waukegan Harbor in Illinois, the Grand Calumet River in northwest Indiana and Green Bay in Wisconsin.
Scientists have known for years that PCBs accumulate in the fatty
tissues of fish, leading to advisories throughout the Great Lakes
region to limit eating most freshwater species.
Less is known
about the potential health effects of airborne exposure to the
chemicals, though steady levels of PCBs in fish can be attributed in
part to pollution falling from the air into waterways.
"We haven't paid a lot of attention to this particular PCB before," said Victoria Persky, an epidemiologist at the University of Illinois at Chicago who helped arrange the testing methods the Iowa researchers used. "We need to see more data before deciding whether we should be alarmed."
More
than 50 factories in Chicago list paint and pigment production as part
of their manufacturing processes, but none report releasing PCBs into
the air, adding to the mystery of where the PCB-11 is coming from.